019200513-5-19-2025-15-AS-KHOS-DHALBC-20250603083633

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 019200513
Report Date: 05/19/2025
Date Signed: 05/19/2025 02:53:45 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612

This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/12/2025 and conducted by Evaluator Gregory Clark

COMPLAINT CONTROL NUMBER: 15-AS-20250512151537

FACILITY NAME:	OAKLAND HEIGHTS SENIOR LIVING		FACILITY NUMBER:	019200513
ADMINISTRATOR:	GARCIA, ANTHONY		FACILITY TYPE:	740
ADDRESS:	2330, 2350, 2361 E 29TH ST		TELEPHONE:	(510) 534-3637
CITY:	OAKLAND	STATE: CA	ZIP CODE:	94606
CAPACITY:	197	CENSUS: 99	DATE:	05/19/2025
		UNANNOUNCED	TIME BEGAN:	01:45 PM
MET WITH:	Anthony Garcia, Administrator		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Staff are allowing residents to smoke in the facility

INVESTIGATION FINDINGS:

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On 5/19/25 at 1:45 p.m., Licensing Program Analyst (LPA) Greg Clark arrived unannounced to conduct an initial 10-day complaint investigation and deliver findings in regard to the allegation above. LPA met with Anthony Garcia, Administrator and explained the purpose of the visit.

During the course of the investigation LPA interviewed W1, S1 and R1.

W1 stated that when he visits the facility there is a “strong smell of cigarette smoke.” W1 further stated that he has spoken to other residents at the facility, and they stated they smell cigarette smoke as well.

***Report continues on LIC9099C***

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Yvonne Flores-Larios	TELEPHONE: (510) 286-0517
LICENSING EVALUATOR NAME: Gregory Clark	TELEPHONE: 510-285-3927
LICENSING EVALUATOR SIGNATURE:	DATE: 05/19/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 15-AS-20250512151537

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612

FACILITY NAME: OAKLAND HEIGHTS SENIOR LIVING	FACILITY NUMBER: 019200513
	VISIT DATE: 05/19/2025

NARRATIVE

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***Report continues from LIC9099***

LPA interviewed S1 who stated that there has been an issue with R1 smoking in his room that he and the corporate management of the facility have been dealing with the issue for several months. S1 also stated that R1 is currently on a smoking cessation program. R1 has nicotine gum and is on a nicotine patch. The facility has also issued R1 a later dated 5/14/25 that references that section of the admission agreement that R1 is in violation of and that if there is another incident of him smoking in his room he will be evicted. LPA reviewed the letter during the visit.

LPA interviewed R1 in his room at the facility. LPA did not observe any cigarettes, ash trays or any other items that would indicate R1 was smoking in his room. R1 stated that he knows he must follow the rules or face eviction. R1 also stated that he like living at the facility and does not want to get “kicked out.”

This agency has investigated the complaint alleging staff are allowing residents to smoke in the facility. We have found that the complaint was unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Exit interview conducted, a copy of this report provided.

SUPERVISOR'S NAME: Yvonne Flores-Larios	TELEPHONE: (510) 286-0517
LICENSING EVALUATOR NAME: Gregory Clark	TELEPHONE: 510-285-3927
LICENSING EVALUATOR SIGNATURE:	DATE: 05/19/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2025

LIC9099 (FAS) - (06/04)

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